- Merck & Co. (Boston, MA)
- …Job Description We are seeking a Growth and Improvement minded Regional Medical Scientific Director - Cardiopulmonary & Pulmonary Hypertension that can ... must reside within the defined territory Summary, Focus And Purpose The Regional Medical Scientific Director - Cardiopulmonary & Pulmonary Hypertension is a… more
- Merck & Co. (Boston, MA)
- …seeking a visionary and transformative leader for the position of Director , Data Science, within our Pharmacokinetics, Dynamics, Metabolism, and Bioanalytics (PDMB) ... leading, and developing high-performing data science teams.Project leadership and management experience. A strong record of publication in top-tier, peer-reviewed… more
- Merck & Co. (Boston, MA)
- …development, strategy execution and value realization, enterprise strategic planning, risk management , and strategic venture investments in healthcare as part of our ... special assignment partners. Primary Responsibilities: Partner with Oncology senior management and leaders to identify high-value strategic imperativesLead the… more
- Harbor Health Services, Inc. (Mattapan, MA)
- …improvement plans, and assess outcomes. Promotes the appropriate use of InterQual's medical management treatment guidelines. Ensures controls are established to ... authorization issues from EOHHS, CMS and other regulatory entities. Collaborates with Senior Medical Director to resolve complex medical review issues and… more
- Tufts Medicine Care at Home (Framingham, MA)
- …all-inclusive list . Other duties and responsibilities may be assigned. Works with Medical Director to deliver optimal hospice care. Ensures contribution from ... Three (3) years of experience in community hospice clinical operations and management . Experience in progressive healthcare management . Preferred… more
- Highmark Health (Providence, RI)
- …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care… more
- Humana (Providence, RI)
- …reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those within the medical ... part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more
- Humana (Providence, RI)
- …reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements, including those within the medical ... part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more
- Humana (Providence, RI)
- …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- Evolent (Providence, RI)
- …accountability for utilization management while working in conjunction with the Senior Medical Director . May assist the Senior Medical Director ... Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management , you will be a key member of the...process. + On a requested basis, may function as Medical Director for selecting health plans or… more
- CenterWell (Providence, RI)
- …Information** Will report to the Director of Physician Strategy at Utilization Management . The Medical Director conducts Utilization review of the care ... **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health… more
- Humana (Providence, RI)
- …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The … more
- Humana (Providence, RI)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The … more
- Boston Health Care for the Homeless Program (Boston, MA)
- …week, Monday - Friday Union: None Union Name: None Patient Facing: Yes The Associate Medical Director of Medical Respite, in close collaboration with the ... Medical Director , is responsible for the daily clinical operations of...5 years of clinical experience as an NP/PA required. Management experience is strongly preferred. DEA X-waiver required. +… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- Generations Family Health Center (Putnam, CT)
- …direct oversight of the medication management providers. + The Behavioral Health Medical Director works closely with the BH Leadership team to reach ... Shift Day Education Level Doctorate Category Health Care Description Behavioral Health Medical Director / Psychiatrist (MD/DO) Generations Family Health Center,… more
- Fenway Health (Boston, MA)
- Medical Director of Primary Care Boston, MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Medical Job Type Full-time Description ... Reporting to the Chief Medical Officer (CMO), the Medical ...the DCEI to design and implement scheduling innovations, panel management systems, and alternative visit models. + Evaluates internal… more
- Humana (Providence, RI)
- …Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to ... and will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical … more
- Takeda Pharmaceuticals (Boston, MA)
- …and analytical background, preferably in life sciences, and excellent project management skills. The Associate Director , Scientific Communications Lead, develops ... medical information, and/or training. + Experience with publications management databases such as Datavision + Working experience in cross-functional teams… more
- Evolent (Providence, RI)
- …non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... utilization management while working in conjunction with the Senior Medical Director . **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical… more
